C/O 32630 NYS ROUTE 12, DEPAUVILLE, 13632, NEW YORK
| Entity Name | ANDREW FASANO M.D., PLLC |
| Entity Number | 3230425 |
| Status | ACTIVE |
| Incorporation Date | 14th July 2005 |
| Dos Process Address | 129 HARBOUR VIEW DRIVE, MASSAPEQUA, 11758, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |